Clustering of Multiple Lifestyle Behaviors and Health-related Fitness in European Adolescents

摘要: Abstract Objective To explore the clustering of different lifestyle behaviors and whether this differs by gender, age, health-related fitness. Design Healthy Lifestyle in Europe Nutrition Adolescence (HELENA) cross-sectional study. Setting Ten European cities. Participants A total 2,084 adolescents (12.5–17.5 years). Main Outcome Measures Four were assessed self-administered questionnaires: moderate to vigorous physical activity, homework time, screen diet. Health-related fitness components (aerobic capacity, strength, speed-agility, body composition) assessed. Analysis Hierarchical method κ -means cluster analysis. variance tests. Results Five clusters identified: diet Active, Academic, Inactive, Unhealthy Screen user, Active. Younger more active followed a healthier than older adolescents. Older boys devoted time use, whereas girls homework. Boys Active presented higher aerobic capacity speed-agility. Conclusions Implications Clustering is observed. Different healthy lifestyles do not always come together are associated with fitness, but composition. These differences need be considered when developing intervention strategies for prevention unhealthy habits.